Richard Joseph Mann Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160462329 Issued in WA

Practice address

3919 S 19TH St
Tacoma, WA 98405-1414

Phone

(253) 752-5677

NPI assigned

Dec 13, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1124533021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 SOUTH 19TH STREET",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-752-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051414",
            "telephone_number": "253-752-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 S 19th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051414",
            "country_code": "US",
            "telephone_number": "253-752-5677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160462329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee May Elizabeth Manley
• Stephanie Stone Manley, RN, BSN
• Elaine Marie Mann
• Harleen Mann, MD
• Natalie Gayle Mann, MSW, LICSW
• Thomas Nelson Mann, MD
• Halla Mannering
• Linda Manning
• Shawn Nelson Manning, LMHC, MA
• Kristin Louise Mannschreck

• Physical Therapy Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.